Individual
VINCENT MANGILI
Active
Individual
VINCENT MANGILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75633
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05005274
PALMETTO GBA
MA
01
—
075633
TUFTS HEALTH PLAN
MA
01
—
275182
HARVARD PILGRIM
MA
01
—
3101398
HEALTHY START
MA
05
—
3101398
—
MA
01
—
39094
FALLON
MA
01
—
F25287
TRICARE
MA
01
—
J12315
BLUE SHIELD
MA
Enumeration date
07/27/2006
Last updated
05/12/2008
Update your record
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